Provider Demographics
NPI:1053541011
Name:WINDMILL POINTE TRANSPORTATION
Entity type:Organization
Organization Name:WINDMILL POINTE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SUPPORT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MALACHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-633-7928
Mailing Address - Street 1:2820 W MAPLE RD STE 228
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-7048
Mailing Address - Country:US
Mailing Address - Phone:248-633-7928
Mailing Address - Fax:
Practice Address - Street 1:2820 W MAPLE RD STE 228
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7048
Practice Address - Country:US
Practice Address - Phone:248-633-7928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINDMILL POINTE CARE SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)